目的　探讨玻璃体切除术后眼内炎的治疗。方法　对我院 5年来发生的 4例玻璃体切除术后眼内炎进行回顾性分析。结果　术后 12～ 2 4小时起病 ,伴有明显疼痛、局部刺激症状、视力下降 ,且进行性加重 ,术后第 2天出现前房积脓。细菌培养 2例为阳性。经玻璃体腔注药、再次玻璃体切除术 ,炎症控制。随访 8月～ 4年 ,视力 :手动～ 0 1。结论　玻璃体切除术后眼内炎及时发现、积极处理 ,能够挽救部分视功能。 Objective To investigate the treatment of endophthalmitis after vitrectomy. Methods Four cases of endophthalmitis after vitrectomy in our hospital over the past five years were retrospectively analyzed. Results 12 to 24 hours after onset, with significant pain, local irritation, decreased visual acuity, and progressive increase in the first 2 days after the emergence of anterior chamber empyema. Two cases of bacterial culture were positive. Through the vitreous cavity injection, vitrectomy again, inflammation control. Follow-up from August to 4 years, visual acuity: manual ~ 0 1. Conclusions Vitreoretinal endophthalmitis was found in time and actively treated, which could save some visual functions.